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Organization

1059 VIRGINIA ST OPCO LLC

Active
Other names
Aviata at Lakeside Oaks Villas
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN FREUND (MANAGER)
(732) 730-7480
Entity
Organization

Contact information

Practice address
1059 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-6091
(727) 736-6739
Mailing address
1059 VIRGINIA ST, DUNEDIN, FL 34698-7326
(727) 733-6091
(727) 736-6739

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
10/30/2023
Last updated
04/09/2025
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